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1598020810 NPI number — ALEJANDRA MARIA FERNANDEZ MA,CCC,SLP

NPI Number: 1598020810
Health Care Provider/Practitioner: ALEJANDRA MARIA FERNANDEZ MA,CCC,SLP

Information about “1598020810” NPI (ALEJANDRA MARIA FERNANDEZ MA,CCC,SLP) exists in 1598020810 in HTML format HTML  |  1598020810 in plain Text format TXT  |  1598020810 in PDF (Portable Document Format) PDF  |  1598020810 in an XML format XML  formats.

NPI Number : 1598020810 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1598020810",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FERNANDEZ",
    "FirstName": "ALEJANDRA",
    "MiddleName": "MARIA",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "MA,CCC,SLP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "VELASQUEZ",
    "OtherFirstName": "ALEJANDRA",
    "OtherMiddleName": "MARIA",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "3896 HAMMOCK BLUFF DRIVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JACKSONVILLE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32226",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "786-262-3708",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3896 HAMMOCK BLUFF DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JACKSONVILLE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32226-4602",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "786-262-3708",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/12/2012",
    "LastUpdateDate": "09/17/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "01/08/2025",
    "NPIReactivationDate": "09/15/2025",
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "235Z00000X",
        "TaxonomyName": "Speech-Language Pathologist",
        "LicenseNumber": "SA15605",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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